Jewel Jackson

NPI 1386000735 · on the registry since 2016

Practice

Address: 8326 Kelwood Ave
Baton Rouge, LA 70806
Phone: (225) 929-9738
Fax: (225) 929-9740
Organisation at this address: Behavioral Services Of Louisiana
Behavioral Services Of Louisiana, L.L.C.
Association Retarded Citizens Baton Rouge
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 259

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana